Evidence-Based Practice & The Quadruple Aim
Evidence-Based Practice & The Quadruple Aim
In 2008, Donald Berwick and colleagues provided a framework for the delivery of high value care in the USA, the Triple Aim, that is centered around three overarching goals: improving the individual experience of care; improving the health of populations; and reducing the per capita cost of healthcare. 1 The intent is that the Triple Aim will guide the redesign of healthcare systems and the transition to population health.
FULL ARTICLE ATTACHED FOR ASSISTANCE
Reflect on how Evidenced Based Practice might impact (or not impact) the Quadruple Aim in healthcare.
Consider the impact that Evidenced Based Practice may have on factors impacting these quadruple aim elements, such as preventable medical errors or healthcare delivery.
To Complete:
Write a brief analysis of the connection between Evidenced Based Practice and the Quadruple Aim.
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Your analysis should address how Evidenced Based Practice might (or might not) help reach the Quadruple Aim, including each of the four measures of:
1. Patient experience
2. Population health
3. Costs
4. Work life of healthcare providers
(2 pages only no longer than 2 pages)
APA FORMAT WITH REFERENCES & IN-TEXT CITATIONS
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Family Focused Assessment
Family Focused Assessment
Develop an interview questionnaire to be used in a family-focused functional assessment. The questionnaire must include three open-ended, family-focused questions to assess functional health patterns for each of the following:
Values/Health Perception
Nutrition
Sleep/Rest
Elimination
Activity/Exercise
Cognitive
Sensory-Perception
Self-Perception
Role Relationship
Sexuality
Coping
Select a family, other than your own, and seek permission from the family to conduct an interview. Utilize the interview questions complied in your interview questionnaire to conduct a family-focused functional assessment. Document the responses as you conduct the interview.
Upon completion of the interview, write a 1000- 1250 word paper. Analyze your assessment findings. Submit your questionnaire as an appendix with your assignment.
Include the following in your paper:
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Describe the family structure. Include individuals and any relevant attributes defining the family composition, race/ethnicity, social class, spirituality, and environment.
Summarize the overall health behaviors of the family. Describe the current health of the family.
Based on your findings, describe at least two of the functional health pattern strengths noted in the findings. Discuss three areas in which health problems or barriers to health were identified.
Describe how family systems theory can be applied to solicit changes in family members that, in turn, initiate positive changes to the overall family functions over time.
Cite at least three peer-reviewed or scholarly sources to complete this assignment. Sources should be published within the last 5 years and appropriate for the assignment criteria.
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Environmental Factors And Health Promotion: Accident Prevention And Safety Promotion For Parents And Caregivers Of Infants
Environmental Factors And Health Promotion: Accident Prevention And Safety Promotion For Parents And Caregivers Of Infants
The growth, development, and learned behaviors that occur during the first year of infancy have a direct effect on the individual throughout a lifetime. For this assignment, research an environmental factor that poses a threat to the health or safety of infants and develop a health promotion that can be presented to caregivers.
Create a 10-12 slide PowerPoint health promotion, with speaker notes, that outlines a teaching plan. For the presentation of your PowerPoint, use Loom to create a voice over or a video. Include an additional slide for the Loom link at the beginning, and an additional slide for references at the end.
Include the following in your presentation:
Describe the selected environmental factor. Explain how the environmental factor you selected can potentially affect the health or safety of infants.
Create a health promotion plan that can be presented to caregivers to address the environmental factor and improve the overall health and well-being of infants.
Offer recommendations on accident prevention and safety promotion as they relate to the selected environmental factor and the health or safety of infants.
Offer examples, interventions, and suggestions from evidence-based research. At least three scholarly resources are required. Two of the three resources must be peer-reviewed and no more than 6 years old.
Provide readers with two community resources, a national resource, and a Web-based resource. Include a brief description and contact information for each resource.
In developing your PowerPoint, take into consideration the health care literacy level of your target audience, as well as the demographic of the caregiver/patient (socioeconomic level, language, culture, and any other relevant characteristic of the caregiver) for which the presentation is tailored
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Patient’s perception And Reality Assignment
Patient’s perception And Reality Assignment
Patient’s perception And Reality Assignment
ORDER NOW FOR AN ORIGINAL PAPER ASSIGNMENT: Patient’s perception And Reality Assignment
Within nursing, the patient’s perception is recognized as the patient’s reality. How does this way..
Within nursing, the patient's perception is recognized as the patient's reality. How does this way of knowing in nursing fit within an objective or subjective paradigm of the world? Explain your reasoning.
You must proofread your paper. But do not strictly rely on your computer’s spell-checker and grammar-checker; failure to do so indicates a lack of effort on your part and you can expect your grade to suffer accordingly. Papers with numerous misspelled words and grammatical mistakes will be penalized. Read over your paper – in silence and then aloud – before handing it in and make corrections as necessary. Often it is advantageous to have a friend proofread your paper for obvious errors. Handwritten corrections are preferable to uncorrected mistakes.
Use a standard 10 to 12 point (10 to 12 characters per inch) typeface. Smaller or compressed type and papers with small margins or single-spacing are hard to read. It is better to let your essay run over the recommended number of pages than to try to compress it into fewer pages.
Likewise, large type, large margins, large indentations, triple-spacing, increased leading (space between lines), increased kerning (space between letters), and any other such attempts at “padding” to increase the length of a paper are unacceptable, wasteful of trees, and will not fool your professor.
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The paper must be neatly formatted, double-spaced with a one-inch margin on the top, bottom, and sides of each page. When submitting hard copy, be sure to use white paper and print out using dark ink. If it is hard to read your essay, it will also be hard to follow your argument.
ADDITIONAL INSTRUCTIONS FOR THE CLASS
Discussion Questions (DQ)
Initial responses to the DQ should address all components of the questions asked, include a minimum of one scholarly source, and be at least 250 words.
Successful responses are substantive (i.e., add something new to the discussion, engage others in the discussion, well-developed idea) and include at least one scholarly source.
One or two sentence responses, simple statements of agreement or “good post,” and responses that are off-topic will not count as substantive. Substantive responses should be at least 150 words.
I encourage you to incorporate the readings from the week (as applicable) into your responses.
Weekly Participation
Your initial responses to the mandatory DQ do not count toward participation and are graded separately.
In addition to the DQ responses, you must post at least one reply to peers (or me) on three separate days, for a total of three replies.
Participation posts do not require a scholarly source/citation (unless you cite someone else’s work).
Part of your weekly participation includes viewing the weekly announcement and attesting to watching it in the comments. These announcements are made to ensure you understand everything that is due during the week.
APA Format and Writing Quality
Familiarize yourself with APA format and practice using it correctly. It is used for most writing assignments for your degree. Visit the Writing Center in the Student Success Center, under the Resources tab in LoudCloud for APA paper templates, citation examples, tips, etc. Points will be deducted for poor use of APA format or absence of APA format (if required).
Cite all sources of information! When in doubt, cite the source. Paraphrasing also requires a citation.
I highly recommend using the APA Publication Manual, 6th edition.
Use of Direct Quotes
I discourage overutilization of direct quotes in DQs and assignments at the Masters’ level and deduct points accordingly.
As Masters’ level students, it is important that you be able to critically analyze and interpret information from journal articles and other resources. Simply restating someone else’s words does not demonstrate an understanding of the content or critical analysis of the content.
It is best to paraphrase content and cite your source.
LopesWrite Policy
For assignments that need to be submitted to LopesWrite, please be sure you have received your report and Similarity Index (SI) percentage BEFORE you do a “final submit” to me.
Once you have received your report, please review it. This report will show you grammatical, punctuation, and spelling errors that can easily be fixed. Take the extra few minutes to review instead of getting counted off for these mistakes.
Review your similarities. Did you forget to cite something? Did you not paraphrase well enough? Is your paper made up of someone else’s thoughts more than your own?
Visit the Writing Center in the Student Success Center, under the Resources tab in LoudCloud for tips on improving your paper and SI score.
Late Policy
The university’s policy on late assignments is 10% penalty PER DAY LATE. This also applies to late DQ replies.
Please communicate with me if you anticipate having to submit an assignment late. I am happy to be flexible, with advance notice. We may be able to work out an extension based on extenuating circumstances.
If you do not communicate with me before submitting an assignment late, the GCU late policy will be in effect.
I do not accept assignments that are two or more weeks late unless we have worked out an extension.
As per policy, no assignments are accepted after the last day of class. Any assignment submitted after midnight on the last day of class will not be accepted for grading.
Communication
Communication is so very important. There are multiple ways to communicate with me:
Questions to Instructor Forum: This is a great place to ask course content or assignment questions. If you have a question, there is a good chance one of your peers does as well. This is a public forum for the class.
Individual Forum: This is a private forum to ask me questions or send me messages. This will be checked at least once every 24 hours.
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Benchmark – Professional Capstone And Practicum Reflective Journal
Benchmark – Professional Capstone And Practicum Reflective Journal
3000 WORD MINIMUM (EXCLUDING REFERENCES) I HAVE STARTED THE ASSIGNMENT (1 PAGE) BUT NEED IT FINISHED.
JOURNAL TYPE WRITING PLEASE AND NO PLALGARISM. Please use scholarly references within 5 years.
In your journal, you will reflect on the personal knowledge and skills gained throughout this Capstone course. The journal should address a variable combination of the following, depending on your specific practice immersion clinical experiences:
New practice approaches
Intraprofessional collaboration
Health care delivery and clinical systems
Ethical considerations in health care
Population health concerns
The role of technology in improving health care outcomes
Health policy
Leadership and economic models
Health disparities
Students will outline what they have discovered about their professional practice, personal strengths and weaknesses that surfaced, additional resources and abilities that could be introduced to a given situation to influence optimal outcomes, and finally, how the student met the competencies aligned to this course.
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Nonconformity Control Charts Chapter 8
Nonconformity Control Charts Chapter 8
Due 10/13/2018
Week 8 Assignment: Textbook Problems:
Create Nonconformity Control Charts
To further your understanding and use of SPC in health services organizations, you have examined how to create variable control charts such as the c and u-charts. In order to ensure health care quality and positive outcomes in health services organizations, health care administration leaders likely utilize SPC to monitor, oversee, and alter processes in health care delivery.
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For this Assignment, review the resources for this week that are specific to attribute control charts. You should focus on mimicking the development of c and u charts as demonstrated in the resources for this week.
The Assignment: (3–pages)
· Using SPSS and Microsoft Word, complete problems 1 through 5 on pages 330–331 in the Ross textbook. Show all work. Submit both your SPSS and Word files for grading.
By Day 7
PROBLEMS
1. A hospital introduced hip protectors to reduce the frequency of injury-producing patient falls. The hip protectors were introduced in July. The following table records the number of injury-producing falls from January through December. Create and interpret a c chart for patient falls. Were the hip protectors effective in reducing injury-producing patient falls? (Tried to copy the chart would not work, sorry)
2. The director of medical records conducts a monthly audit of 50 medical records to identify coding errors. The Chapter 08.xls, Problem 08–02 tab records the data. National statistics indicate that approximately 15% of medical records contain errors, and in the past the director has found multiple errors in a single record. Create a c chart to analyze performance. Interpret the department’s performance based on your control chart and identify any issues that should be investigated. Is the department doing a good job?
3. The chief medical officer is concerned that the long lengths of stay at her hospital may be the result of missed oxygen treatments. She has enacted a program to reduce the number of missed treatments. The Chapter08.xls, Problem 08–03 tab, records the number of missed oxygen treatments over the last 40 weeks. The improvement program was introduced in week 20. Was the program effective?
4. Implementing regular nursing rounds has been demonstrated to increase patient satisfaction and reduce patient falls. A hospital has collected data on ten patients per month over the past 24 months. The first twelve months the hospital did not have a formal rounding system. During the second period nurses were required to make rounds on an hourly basis from 8:00 AM through 8:00 PM and every two hours from 8:00 PM to 8:00 AM. The Chapter 08.xls, Problem 08–04 tab displays the number of call lights received per day for the ten- patient sample. Create a c chart to determine the effect of the rounding system on the use of call lights. Did the rounding program reduce patients’ use of call lights? Are there any issues that should be investigated?
5. To supplement their patient satisfaction survey, End Result Hospital conducts in-depth tele- phone interviews of past patients. The interviews are based on a 1% sample of the completed surveys from the prior month. The sample varies widely due to differences in monthly admis- sions, the rate at which surveys are completed, and the willingness of patients to participate in the telephone interview. The Chapter 08.xls, Problem 08–05 tab records the total number of the patients’ concerns noted by the interviewers. These concerns range from the effective- ness of medical treatment to the cleanliness and comfort of the patient room and ease of parking. The interviewer addresses the same items found on the patient satisfaction survey, solicits additional information for any item on which the patient indicated performance was less than “Good” or “Very Good,” and provides the patient with the opportunity to voice any other concerns. Create a control chart to summarize the results. Are patient concerns stable
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